Abstract

Objective: Sinus mucoceles are true cysts that develop secondary to obstruction of sinus ostea and can be associated with significant morbidity. Study Design: We present a case of obstructive-type sinus mucocele of the maxillary sinus, including clinical, radiographic, histologic findings, as well as treatment. Results: An 18 year old female presented for evaluation and management of maxillary sinus swelling. A diagnosis of sinus mucocele was rendered after clinical, radiographic, surgical and histopathologic examinations. Recurrence developed within four months of the initial surgical intervention. Conclusions: Sinus mucoceles may be associated with significant morbidity and are currently managed most often by endoscopic nasal surgery.

Highlights

  • Sinus mucoceles are true cysts lined by pseudostratified respiratory epithelium and have a mucous or mucopurulent content [1]

  • While retention cysts are typically asymptomatic and incidental findings, the obstructive type sinus mucocele is capable of significant expansion and destruction [2]

  • We present a case of obstructive type sinus mucocele of the left maxillary sinus in an 18 year old female

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Summary

Introduction

Sinus mucoceles are true cysts lined by pseudostratified respiratory epithelium and have a mucous or mucopurulent content [1]. While retention cysts are typically asymptomatic and incidental findings, the obstructive type sinus mucocele is capable of significant expansion and destruction [2]. We present a case of obstructive type sinus mucocele of the left maxillary sinus in an 18 year old female. An 18 year old Cambodian female presented to Children’s Surgical Center at the National Rehabilitation Center in Phnom Penh, Cambodia for evaluation of left maxillary sinus swelling and discomfort (Figure 1).

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